DR. LUCIAN KENNETH DENICOLA M.D.
NPI 1750359063
Pediatrics - Pediatric Critical Care Medicine in Jacksonville, FL

Active since March 11, 2006
800 PRUDENTIAL DR FL 3, UFJP PEDIATRIC CRITICAL CARE, JACKSONVILLE, FL 32207(904) 202-8758(904) 306-9884 Get Directions Write a Review

NPPES record last updated: August 17, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Lucian Kenneth Denicola M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LUCIAN KENNETH DENICOLA M.D. (NPI 1750359063) is an individual pediatric critical care medicine provider in Jacksonville, Florida, licensed in Florida (ME40505) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1750359063
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. LUCIAN KENNETH DENICOLACredential: M.D.
Location Address800 PRUDENTIAL DR FL 3, UFJP PEDIATRIC CRITICAL CAREJacksonville, FL 32207-8202
Mailing AddressPo Box 44008, Ufjp Provider EnrollmentJacksonville, FL 32231-4008
Fax(904) 306-9884
Sole ProprietorNo
Enumeration DateMarch 11, 2006
Last NPPES UpdateAugust 17, 2009
NPI 1750359063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in FL · ME40505
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License ME40505 (FL)
800 PRUDENTIAL DR FL 3, Jacksonville, FL 32207

Other Identifiers 5

Medicare PIN15720WFL
Other810000707FL · Railroad Medicare
Medicaid0669610-00FL
Medicare UPIND52714FL
Medicaid000252458DGA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
800 PRUDENTIAL DR FL 3
JACKSONVILLE, FL 32207
Pediatrics (Pediatric Critical Care Medicine)
800 PRUDENTIAL DR FL 3, UFJP PEDIATRIC CRITICAL CARE
JACKSONVILLE, FL 32207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lucian Denicola's NPI number?

The NPI number for Lucian Denicola is 1750359063. It was assigned to this individual provider in the NPPES registry on March 11, 2006.

Where is Lucian Denicola located?

Lucian Denicola practices at 800 Prudential Dr Fl 3 Ufjp Pediatric Critical Care, Jacksonville, FL 32207. The listed phone number is (904) 202-8758.

What is Lucian Denicola's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

When was this NPI record last updated?

The NPPES record for Lucian Denicola was last updated on August 17, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.